RENO FAMILY MEDICAL CLINIC NPI 1477970325

NPI Information

RENO FAMILY MEDICAL CLINIC is a primary care clinic center in Reno, NV. RENO FAMILY MEDICAL CLINIC NPI is 1477970325. The provider is registered as an organization entity type.
The provider Other Name Is Reno Family Medical Clinic, Llc.

The provider's business location address is:

1699 S VIRGINIA ST
SUITE 100
RENO, NV
ZIP 89502-820
Phone: (775) 742-7028
Fax: (775) 786-8685

The provider's authorized official is Mary Ann Pettit .
The authorized official title is Credentialing and has the following contact phone number (888) 737-3720.

The CLIA number assigned to this NPI record is 29D2091137 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 10/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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